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1104874247
FOND DU LAC SURGERY CENTER, LLC
FOND DU LAC, WI
NPI
1104874247
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Entity Type
Organization
Authorized Contact
STEVEN N LITTLE
SVP & CFO
920-926-5402
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2006-05-04
Last Update Date
2007-08-29
Business Address
FOND DU LAC SURGERY CENTER, LLC
421 CAMELOT DRIVE
FOND DU LAC, WI 54935
Phone number: 920-926-5407
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Mailing Address
FOND DU LAC SURGERY CENTER, LLC
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4472
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